Document Detail

Spontaneous hematoma of a parathyroid adenoma.
MedLine Citation:
PMID:  2655447     Owner:  NLM     Status:  MEDLINE    
A patient with long-standing, asymptomatic, primary hyperparathyroidism developed pain in the anterior neck area, with cough, dysphagia and increasing shortness of breath. This led to respiratory insufficiency, which required endotracheal intubation and respirator assistance. During the ensuing hours the patient developed an area of ecchymosis on the anterior chest. Chest x-ray showed widening of the superior mediastinum, and CT scan showed a large mass with a fluid level. Surgery revealed a large hematoma originating from a mediastinal parathyroid adenoma with a hemorrhagic infarct. Serum calcium, previously elevated, decreased to normal with the onset of neck pain, and the patient remains normocalcemic. Previous reported cases of this rare complication of parathyroid adenomas are reviewed. Hemorrhagic infarct of a parathyroid adenoma may present with a rapidly enlarging mediastinal mass, and/or hypercalcemic crisis. Surgical removal of the infarcted adenoma can return the serum calcium to normal.
L S Hotes; J Barzilay; L P Cloud; A R Rolla
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  297     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  1989 May 
Date Detail:
Created Date:  1989-06-22     Completed Date:  1989-06-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  331-3     Citation Subset:  AIM; IM    
Department of Medicine, Brockton Hospital, Massachusetts.
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MeSH Terms
Adenoma / blood supply,  complications*
Hematoma / etiology*
Infarction / etiology
Mediastinal Diseases / etiology*
Parathyroid Neoplasms / blood supply,  complications*

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